Christopher M. Shea
YOU?
Author Swipe
View article: Analysis of shared cognitive tasks in the application of non-invasive ventilation to patients with COPD exacerbation
Analysis of shared cognitive tasks in the application of non-invasive ventilation to patients with COPD exacerbation Open
Interprofessional teamwork plays a key role in the uptake of evidence-based interventions, such as noninvasive ventilation (NIV) for patients with exacerbated Chronic Obstructive Pulmonary Disease (COPD). We aimed to identify the shared co…
View article: Assessing the determinants associated with fidelity to the 2016 world health organization antenatal care policy across states in Nigeria
Assessing the determinants associated with fidelity to the 2016 world health organization antenatal care policy across states in Nigeria Open
Aim This study examined the determinants associated with fidelity to five selected antenatal care (ANC) components—based on the 2016 World Health Organization ANC policy—across states in Nigeria. Methods We conducted a cross-sectional stud…
View article: Time to Adoption of TransformUs at Scale: Role of School Characteristics, Organizational Readiness, and Implementation Climate
Time to Adoption of TransformUs at Scale: Role of School Characteristics, Organizational Readiness, and Implementation Climate Open
Introduction Globally, children are insufficiently active for health. Schools are a setting in which interventions can be implemented; however, many factors influence program adoption decisions. TransformUs is a school-based program to inc…
View article: Assessing the antenatal care-seeking determinants associated with the penetration of the WHO eight-visit antenatal care policy across states in Nigeria
Assessing the antenatal care-seeking determinants associated with the penetration of the WHO eight-visit antenatal care policy across states in Nigeria Open
Not applicable.
View article: Telehealth Payment Parity and Outpatient Service Utilization: Evidence from Privately Insured Workers
Telehealth Payment Parity and Outpatient Service Utilization: Evidence from Privately Insured Workers Open
Introduction Telehealth was catalyzed by the COVID-19 pandemic and has become a new norm in healthcare. In response to the pandemic, some states passed telehealth payment parity legislation, mandating equal payment rates for telehealth and…
View article: Use of telebehavioral health services by critical access hospitals in the United States: A qualitative study of the impacts of medicare flexibilities and future opportunities
Use of telebehavioral health services by critical access hospitals in the United States: A qualitative study of the impacts of medicare flexibilities and future opportunities Open
Objective This study examined the delivery of telehealth for behavioral health services among Critical Access Hospitals (CAH). More specifically, we describe how CAHs representatives reported using telebehavioral health (TBH) to meet the b…
View article: Patient Experiences with Virtual Nursing: A Qualitative Survey
Patient Experiences with Virtual Nursing: A Qualitative Survey Open
Virtual nursing is a novel nursing model of care that utilizes experienced nurses providing nursing care remotely using telehealth technologies. This qualitative study focuses on patient experiences after using virtual nursing to complete …
View article: Telehealth payment parity and outpatient service utilization: evidence from privately insured workers
Telehealth payment parity and outpatient service utilization: evidence from privately insured workers Open
Telehealth was catalyzed by the COVID-19 pandemic and has become a new norm in healthcare. In response to the pandemic, some states passed telehealth payment parity legislation, mandating equal payment rates for telehealth and in-person se…
View article: Whose Role Is It Anyway? Beneficiary Engagement During the Transition to Medicaid Managed Care in North Carolina
Whose Role Is It Anyway? Beneficiary Engagement During the Transition to Medicaid Managed Care in North Carolina Open
Empowering beneficiaries to choose a health plan that meets their health needs during the transition to Medicaid managed care is critical to promote informed decision-making. This study uses North Carolina’s transition under the 1115 waive…
View article: North Carolina Medicaid System Perspectives on Substance Use Disorder Treatment Policy Changes During the COVID-19 Pandemic
North Carolina Medicaid System Perspectives on Substance Use Disorder Treatment Policy Changes During the COVID-19 Pandemic Open
OBJECTIVE: This study aimed to describe perspectives from stakeholders involved in the Medicaid system in North Carolina regarding substance use disorder (SUD) treatment policy changes during the coronavirus disease 2019 pandemic. METHODS:…
View article: Association of Virtual Nursing and Task Completeness: An Observational Study
Association of Virtual Nursing and Task Completeness: An Observational Study Open
Introduction Higher nurse turnover rates are associated with lower care quality and worse patient and nurse outcomes. Healthcare systems nationwide are implementing virtual nursing (VN), an innovative nursing care model, to reduce nurse tu…
View article: North Carolina Academic Health Centers and Social Determinants of Health
North Carolina Academic Health Centers and Social Determinants of Health Open
Background Academic health centers (AHCs) have traditionally focused on 3 core missions: patient care, research, and education. The current changing health care environment requires AHCs to broaden their focus to improve the health of thei…
View article: North Carolina Academic Health Centers and Social Determinants of Health
North Carolina Academic Health Centers and Social Determinants of Health Open
Background Academic health centers (AHCs) have traditionally focused on 3 core missions: patient care, research, and education. The current changing health care environment requires AHCs to broaden their focus to improve the health of thei…
View article: Design Approaches for Developing Quality Checklists in Healthcare Organizations: A Scoping Review
Design Approaches for Developing Quality Checklists in Healthcare Organizations: A Scoping Review Open
Quality checklists have demonstrated benefits in healthcare and other high-reliability organizations, but there remains a gap in the understanding of design approaches and levels of stakeholder engagement in the development of these qualit…
View article: Virtual quality improvement collaborative with primary care practices during COVID-19: a case study within a clinically integrated network
Virtual quality improvement collaborative with primary care practices during COVID-19: a case study within a clinically integrated network Open
INTRODUCTION: Quality improvement collaboratives (QICs) are a common approach to facilitate practice change and improve care delivery. Attention to QIC implementation processes and outcomes can inform best practices for designing and deliv…
View article: Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018
Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018 Open
OBJECTIVE: The objective was to estimate the rural-urban differences in the receipt of prepregnancy, prenatal, and postpartum services. METHODS: The authors conducted a cross-sectional data analysis using data from the Pregnancy Risk Asses…
View article: Barriers and Perceived Usefulness of an ECHO Intervention for Office-Based Buprenorphine Treatment for Opioid use Disorder in North Carolina: A Qualitative Study
Barriers and Perceived Usefulness of an ECHO Intervention for Office-Based Buprenorphine Treatment for Opioid use Disorder in North Carolina: A Qualitative Study Open
BACKGROUND: Medication treatment for opioid use disorder (M-OUD) is underutilized, despite research demonstrating its effectiveness in treating opioid use disorder (OUD). The UNC Extension for Community Healthcare Outcomes for Rural Primar…
View article: The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance Open
Objective: To determine if individuals newly diagnosed with opioid use disorder (OUD) who saw a primary care provider (PCP) before or on the date of diagnosis had higher rates of medication treatment for OUD (MOUD). Methods: Observational …
View article: A streamlined approach to classifying and tailoring implementation strategies: recommendations to speed the translation of research to practice
A streamlined approach to classifying and tailoring implementation strategies: recommendations to speed the translation of research to practice Open
Background Implementation science emerged from the recognized need to speed the translation of effective interventions into practice. In the US, the science has evolved to place an ever-increasing focus on implementation strategies. The lo…
View article: The evolution of health system planning and implementation of maternal telehealth services during the COVID-19 Pandemic
The evolution of health system planning and implementation of maternal telehealth services during the COVID-19 Pandemic Open
Background Differential access to healthcare is associated with disparities in maternal outcomes. Telehealth is one approach for improving access to maternal services. However, little is known regarding how health systems leverage teleheal…
View article: Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018
Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018 Open
OBJECTIVE: The objective was to estimate the rural–urban differences in the receipt of prepregnancy, prenatal, and postpartum services. METHODS: The authors conducted a cross-sectional data analysis using data from the Pregnancy Risk Asses…
View article: Who are vaccine champions and what implementation strategies do they use to improve adolescent HPV vaccination? Findings from a national survey of primary care professionals
Who are vaccine champions and what implementation strategies do they use to improve adolescent HPV vaccination? Findings from a national survey of primary care professionals Open
Background Implementation science researchers often cite clinical champions as critical to overcoming organizational resistance and other barriers to the implementation of evidence-based health services, yet relatively little is known abou…
View article: North Carolina Medicaid System Perspectives on Substance Use Disorder Treatment Policy Changes During the COVID-19 Pandemic
North Carolina Medicaid System Perspectives on Substance Use Disorder Treatment Policy Changes During the COVID-19 Pandemic Open
Objective This study aimed to describe perspectives from stakeholders involved in the Medicaid system in North Carolina regarding substance use disorder (SUD) treatment policy changes during the coronavirus disease 2019 pandemic. Methods W…
View article: Using intervention mapping to develop an implementation strategy to improve timely uptake of streamlined birth-dose vaccines in the Democratic Republic of the Congo
Using intervention mapping to develop an implementation strategy to improve timely uptake of streamlined birth-dose vaccines in the Democratic Republic of the Congo Open
Despite the policy recommendation and effectiveness of administering the hepatitis B birth-dose vaccine (HepB-BD) to newborns to prevent mother-to-child hepatitis B transmission, timely uptake remains an issue. Countries adopting the HepB-…
View article: Virtual quality improvement collaborative with primary care practices during COVID-19: a case study within a clinically integrated network
Virtual quality improvement collaborative with primary care practices during COVID-19: a case study within a clinically integrated network Open
Introduction Quality improvement collaboratives (QICs) are a common approach to facilitate practice change and improve care delivery. Attention to QIC implementation processes and outcomes can inform best practices for designing and delive…